Bal Cengiz, Öztürk Ahmet, Çiçek Betül, Özdemir Ahmet, Zararsız Gökmen, Ünalan Demet, Ertürk Zararsız Gözde, Korkmaz Selçuk, Göksülük Dinçer, Eldem Vahap, İsmailoğulları Sevda, Erdem Emine, Mazıcıoğlu Mümtaz M, Kurtoğlu Selim
Eskişehir Osmangazi University Faculty of Medicine, Department of Biostatistics, Eskişehir, Turkey.
Erciyes University Faculty of Medicine, Department of Biostatistics; Erciyes Teknopark, Turcosa Analytics Solutions Ltd. Co, Kayseri, Turkey.
J Clin Res Pediatr Endocrinol. 2018 Mar 1;10(1):51-58. doi: 10.4274/jcrpe.4557. Epub 2017 Jun 16.
As in adults, hypertension is also an important risk factor for cardiovascular disease in children. We aimed to evaluate the effect of sleep duration on blood pressure in normal weight Turkish children aged between 11-17 years.
This cross-sectional study was conducted in the primary and secondary schools of the two central and ten outlying districts of Kayseri, Turkey. Subjects were 2860 children and adolescents (1385 boys, 1475 girls). Systolic and diastolic blood pressures were measured according to the recommendations of the Fourth Report of the National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. Sleep duration was classified as follows: ≤8 hours, 8.1-8.9 hours, 9.0-9.9 hours or ≥10 hours.
For short sleeper boys and girls (participants with a sleep duration ≤8 h) the prevalence of prehypertension and hypertension was 35.0% and 30.8%, respectively. In univariate binary logistic regression analyses (age-adjusted), each unit increment in sleep duration (hours) in boys and girls, decreased the prehypertension and hypertension risk by 0.89 [odds ratio (OR)] [confidance interval (CI); 0.82-0.98] and 0.88 (OR) (CI; 0.81-0.97), respectively (p<0.05). In multiple binary logistic regression analyses [age- and body mass index (BMI)-adjusted] the location of the school and sleep duration categories were shown to be the most important factors for prehypertension and hypertension in both genders, while household income was the most important factor, only in boys.
A sleep duration ≤8 h is an independent risk factor for prehypertension and hypertension in Turkish children aged 11-17 years.
与成年人一样，高血压也是儿童心血管疾病的重要危险因素。我们旨在评估睡眠时间对11至17岁正常体重的土耳其儿童血压的影响。
这项横断面研究在土耳其开塞利市两个中心区和十个外围区的中小学进行。研究对象为2860名儿童和青少年（1385名男孩，1475名女孩）。根据美国国家高血压教育计划儿童和青少年高血压工作组第四次报告的建议测量收缩压和舒张压。睡眠时间分类如下：≤8小时、8.1 - 8.9小时、9.0 - 9.9小时或≥10小时。
对于睡眠时间短的男孩和女孩（睡眠时间≤8小时的参与者），高血压前期和高血压的患病率分别为35.0%和30.8%。在单变量二元逻辑回归分析（年龄调整）中，男孩和女孩睡眠时间（小时）每增加一个单位，高血压前期和高血压风险分别降低0.89 [比值比（OR）] [置信区间（CI）；0.82 - 0.98]和0.88（OR）（CI；0.81 - 0.97）（p<0.05）。在多变量二元逻辑回归分析[年龄和体重指数（BMI）调整]中，学校位置和睡眠时间类别被证明是男女高血压前期和高血压的最重要因素，而家庭收入仅是男孩的最重要因素。
睡眠时间≤8小时是11至17岁土耳其儿童高血压前期和高血压的独立危险因素。
